Uniportal Middle Lobectomy After Prior Right Upper Lobectomy

This video shows a middle lobectomy performed via a uniportal approach on a 55-year-old woman who had previously undergone a right upper lobectomy.The patient underwent a right upper lobectomy for a stage I adenocarcinoma in 2014. During a follow-up exam, a 6 mm indeterminate nodule in the middle lobe was shown to have progressed to 11 mm. A PET scan confirmed the absence of adenopathy or distant metastasis, and the patient had excellent cardiorespiratory performance. A middle lobectomy was performed using a uniportal approach. The authors believe that the view from the working incision offered excellent exposure, and allowed a safe ontological dissection.